Active NPI
Michele J. Palos-Samsi, PA-C
- Medical Physician Assistant
- Lafayette Hill, PA
National Provider Identifier
1740505155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- OA000432L
- Practice address
- 661 Ridge Pike
Lafayette Hill, PA 19444 - Phone
- (610) 828-0346
- NPI assigned
- Mar 30, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | OA000432L | PA | Primary |
Addresses
Primary practice location
661 Ridge Pike
Lafayette Hill, PA 19444
Mailing address
661 Ridge Pike
Lafayette Hill, PA 19444-1719
Phone (610) 828-0346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA000432L | PA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1740505155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 RIDGE PIKE",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194441719",
"telephone_number": "610-828-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 RIDGE PIKE",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "19444",
"telephone_number": "610-828-0346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALOS-SAMSI",
"first_name": "MICHELE",
"middle_name": "J.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-30",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "OA000432L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette Hill, PA
- Northwestern Human Services of Philadelphia
- Northwestern Human Services of Susquehanna Valley Inc
- Paula J. O'Reilly, D.M.D.
- Goldstein Okafor
- Rosemarie Cevallos Palmerio, NURSE PRACTITIONER
- Lawrence Jay Paul, DDS
- Susan P. Paul, M.A., CCC/SLP
- Peacefulstart LLC
- Peak Counseling LLC
- Christopher A. Peduzzi, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.